austlii:nsw/NSWPIC/2025/248
General information, not legal advice.
NSWPIC
2025-06-03
Original judgment source is linked above.
Kwon v Allianz Australia Insurance Limited [2025] NSWPIC 248
MOTOR ACCIDENTS - Motor Accident Injuries Act 2017; claim for statutory benefits; insurer denied ongoing benefits on basis claimant wholly or mostly at fault; claimant bus passenger who fell before getting off; bus stopped suddenly; assessed on the papers; - claimant's actions contributed to cause of accident; bus driver breached duty; relative culpability assessed at 50:50; claimant not wholly or mostly at fault; cases cited; regarding approach to fault disputes in statutory benefits; and as to relative culpability; section 5R cited for test of contributory negligence.
In accordance with Division 7.6 of the Motor Accident Injuries Act 2017, the Commission's assessment is:
A statement setting out the Commission's reasons for the assessment is included with this certificate.
"(1) An injured person is not entitled to weekly payments of statutory benefits under this Division for any period of loss of earnings or earning capacity that occurs more than 52 weeks after the motor accident concerned if -
(a) the motor accident was caused wholly or mostly by the fault of the person,[1] or
(b) the person's only injuries resulting from the motor accident were threshold injuries.
(2) A motor accident was caused mostly by the fault of a person if the contributory negligence of the person in relation to the motor accident (as referred to in section 3.38) was greater than 61%."
(a) an injured person's entitlement to benefits, including benefits after the first 52 weeks, does not require the claimant to prove fault [55];
(b) the phrase "wholly or mostly" at fault is a composite phrase (not two separate concepts of wholly at fault and mostly and fault) and is directed at the claimant's contributory negligence [56] relevant to the accident (not the injury) [57];
(c) s 3.38 requires the enacted law of contributory negligence to be applied and includes the provisions of s 5R(2)(a) of the Civil Liability Act 2002 (CL Act). The test of contributory negligence in that section is "the standard of care required of the person who suffered harm is that of a reasonable person in the position of that person" [60];
(d) where there is more than one motor vehicle involved, or some other road user, the claimant's contributory negligence is assessed by considering the apportionment of culpability as stated by Basten AJ in Allianz Australia Insurance Limited v Shuk[3] at [61];
(e) in a single vehicle motor accident in which the claimant is the owner and driver, contributory negligence for the motor accident can still apply and the question to be posed is whether the claimant acted as a reasonable person in their position would have acted citing two blameless accident cases[4] at [68] and [69], and
(f) if contributory negligence is found on the part of the claimant, then s 3.38(3)(c) requires an assessment of the degree of contributory negligence that is "just and equitable in the circumstances of the case" [73].
"You were wholly at fault for the accident. This means we deny the person driving the vehicle we insure was at fault."
"Based on the available evidence, we assert you are wholly at fault. The evidence supports that you have not fallen and by your own admission, you were unable to hold on adequately as you had shopping bags in both hands. Contributory negligence does not apply. If it is later found that you were not wholly at fault, we reserve our rights in respect of contributory negligence."
(a) the accident occurred on 12 September 2024 at about 7.13pm;
(b) the CCTV footage does not include any evidence as to how the accident happened;
(c) the claimant boarded the bus at Norwest Station and intended to get off on Merindah Road at Jamberoo Avenue Bus Stop which was opposite her home;
(d) the claimant pressed the stop button "well before" the bus went through the roundabout (40 metres before the bus stop);
(e) the bus driver failed to stop at the bus stop and the claimant stood up to notify him of this;
(f) the claimant moved into the aisle, carrying her backpack on her right shoulder and her handbag on her left shoulder and both her arms and hands were free;
(g) as the bus moved, she held onto the bars and handrails to maintain her balance;
(h) suddenly the driver braked causing the claimant to lose her balance and lose her grip on the bars and handrails;
(i) the claimant was propelled forward, and her body fell had collided with the Opal card reader in the bus, and
(j) after the bus stopped, the claimant got off between the Jamberoo Avenue Bus Stop and the next stop.
"I am of the view that a reasonable person in the same situation would have remained seated until the bus came to a complete stop. A reasonable person would not have stood up and walking in a moving bus, especially when holding bags on both sides."
(a) by failing to stop the bus or warn the claimant to sit down when the bus was still moving despite noticing the claimant was standing up;
(b) stopping the bus when he was confused as to why the claimant pressed the stop button;
(c) failing to stop the bus safely, and
(d) stopping the bus between designated bus stops.
(a) the claimant's physiotherapist saw the claimant on 16 September 2024 and reports a left sided impact; on 25 September 2024 Dr Jay reports a right sided impact; on 15 October 2024 Dr Lee records a left sided impact [6]-[12];
(b) there are inconsistencies in the mechanism of accident recorded in Dr Lee's two medical certificates of 15 October 2024 [13] and [14];
(c) the report by the claimant's physiotherapist that Ms Kwon says she was thrown 4 metres [17], and
(d) the claimant's claim form that she had left sided symptoms [19] and that she was holding two bags which made it harder for her to control herself [20].
(a) there are varying reports of how the accident happened [32];
(b) the contemporaneous accounts to health practitioners include varying reports of what happened and what part of the claimant's body was hit [33];
(c) Allianz says the driving of the bus did not cause the claimant's injuries and that the claimant fell when she lost her balance while walking towards the front of the bus [35], and
(d) the claimant was carrying bags in both hands and was unable to safely secure herself and prevent herself from stumbling while the bus was in motion [36].
Preliminary conferences and how the matter is to proceed
(a) there were two persons whose conduct is relevant to the cause of the accident the bus driver and the claimant;
(b) findings of fact would need to be made in relation to what each of them did or did not do;
(c) a breach of duty of care by the driver is necessary in order to assess the relevant culpability of the driver (but not because his fault needs to be established for the entitlement to benefits);
(d) whether there is any contributory negligence on the part of the claimant will depend on whether she has departed from the standard of care that a reasonable person in her position would be expected to exercise, and
(e) as to the degree of her contributory negligence (if contributory negligence was found) there would need to be an apportionment of liability between the bus driver and the claimant.
"When bus stopped very suddenly, I moved from the middle of bus (A point) to the front side of the bus (B point) very quickly with fast speed and I think I was hit my left side body and elbow to near Opal tapping machine area and twisted my right side as well. I was holding two bags in my both sides, so it was harder to control myself. Especially right-side bag was very heavy."
(a) a photograph Ms Kwon took on her phone at 7.27pm shows a small abrasion on her elbow. The claimant says the timetable suggests she got off at 7.18pm and her opal car shows a time which is four minutes different. She says she took this photograph when she got home;
(b) a photograph taken at 8.00pm by Ms Kwon's husband on her phone showing a barely perceptible small abrasion on her elbow. She says he got home at 8.00pm and she asked him to take a photograph, and
(c) a close up of the claimant's elbow taken at 8.00pm which shows a small red mark. She says she was wearing thick clothing which "was a bit protective".
(a) the claimant is a regular commuter on this bus, three days a week [28]-[31];
(b) she got on at Norwest Station [33] and was going to Merindah Road near Jamberoo Avenue [35] "just when I get up it happened" [36];
(c) she pressed the button before the bus stop and one lady get up for the stop ahead of hers and she pressed the button and the bus "was almost passing the stop I want to get off" [39];
(d) she stood up and wanted to say something but before she could finish speaking "he made a big sudden stop and then I couldn't control myself" [41];
(e) she hit her body and that at first "it could have been near the window or something because I don't remember" and she was carrying two bags [43];
(f) it was not easy to control holding something, "I tried to holding the ah, bars or something but just, ah, you know ..."[44];
(g) she twisted her whole body, and she was embarrassed and surprised and went to get off and the driver said "'I didn't hear' or something" and then "'are you OK' or something" and after she got off she felt her left knee was uncomfortable and her body was slightly uncomfortable [45];
(h) she then explains about going home and taking the photograph of her elbow and the decision to call the bus company [47];
(i) she describes the process of making the complaint and the delay in getting a response from the bus company. She says it was difficult getting the registration number of the bus [50]-[53];
(j) she confirms that her body impacted the card reader in the area next to the driver [60];
(k) she says she fell down [62] although qualifies that with, "I think so, yeah" [63];
(l) it was dark [75] and she got off the bus at the front door [77], and
(m) she pressed the button, and he was passing by the stop [84].
(a) she has lived in her home for seven years. She is a regular commuter on the 660 bus [3] using it four to five times a week;
(b) she got on at Norwest and sat in the middle of the bus near the rear door [5];
(c) she was heading home and her home is located in Merindah Road opposite the Jamberoo bus stop [6], there is a roundabout about 40 metres before the bus stop in the direction she was travelling [8];
(d) she pressed the stop button 100m before the bus stop [9] but the driver did not slow down or stop [10] so she stood up and moved into the aisle carrying her two bags on her shoulders but with her hands and arms free [12] and she held onto the rails on either side [13];
(e) the bus stopped suddenly she lost her balance and grip on the bars and handrails [14]:
"The force of the momentum propelled me forward toward the area near the bus driver's seat. As I continued to lose my balance, I collided with various fixtures around the bus driver's seat, striking multiple parts of my body, including my left shoulder, left hip, left elbow, and left knee. Both sides of my body made contact with the fixtures within the bus, with the left side being more heavily impacted than the right.";
(f) after the bus stopped, she tapped off and got off the bus. The bus was 80m past her stop. As she walked a few steps she experienced left knee pain [16];
(g) when she got home, she discovered scratches and bruises on her left elbow [17] and during the night she woke up with pain in her back [18];
(h) the next day she rang the bus company to report the incident [19], and
(i) when she went to work on 16 September 2024, she opened her bag and noticed the computer mouse was distorted and a plastic container which had been tightly closed was open which she attributes to the accident [20].
(a) in her answer to question 39 the claimant had mentioned a lady who got off the stop before her. She explains that this lady had been speaking to the bus driver for a minute or two and she wondered whether she had been complaining about the bus driver whose "driving was erratic". She did not mention it to the investigator "out of consideration for the bus driver";
(b) she says in relation to question 40 that she was just standing up and that in her answer to question 41 she had used the words "wake up" which were the wrong words and she had corrected it to standing up. She said she began to speak and before she spoke, he stopped suddenly;
(c) when she responded to question 42, she had said "I expressed like a bullet" and what she meant to convey was that she "rushed forward as if flying";
(d) she says that in answering questions 43 and 44 (and later questions 60, 61 and 64) that she had two bags on each side and hit the card tapping machine. She says that she used the word "hold" when she meant "carry" and she confirms her hands were free she says 'the bus was moving at such a high speed and stopped so suddenly" that she lost her grip and fell;
(e) she says that in her answer to question 45 and later 78 the bus driver asked her if she was okay and that he did not hear something (presumably the stop signal when the button is pressed);
(f) she says she was shy and embarrassed and did not think to identify the bus or its driver [40], and
(g) she clarifies her answer to question 49 and says she meant most drivers are very good and she did not mean that this driver was very good and says:
"Regarding this particular driver, I remember clearly that after departing from Norwest Station, particularly in the section from Barina Downs Road (before Evesham Court bus stop) to MacKillop Drive (after Barina Downs Road), there were about three roundabouts. The driver passed through them without sufficiently slowing down, which made the ride uncomfortable."
(a) on 12 September 2024 he got home from work at about 8.00pm;
(b) his wife was complaining of pain in her waist, shoulder, thigh, elbow and knee;
(c) he says the claimant gave her a history of the accident and this is repeated in similar terms to that in the claimant's own statement;
(d) since the accident she has been consistently complaining of shoulder, neck, elbow and waist pain and she has developed anxiety, and
(e) he is a bus driver and says the only video footage provided is of the claimant getting on the bus and she is now fearful of taking busses and she has nightmares and wakes up saying, "I have been scammed."
(a) the driver was 54 years of age at the time of the accident;
(b) he had five plus years of experience;
(c) the incident occurred on 12 September 2024 at 7.18 pm, and
(d) the narrative of the incident was as follows:
"Received a customer complaint that the driver was driving too sharply and too quickly.
That they were moved around in their seats due to the driver's driving.
When they went get off they lost their balance and hit the opal reader."
(a) he had been driving buses for five years [14];
(b) he had one speeding fine many years ago when he had started driving [18]-[21];
(c) there are cameras in the buses that record everything [35];
(d) he is familiar with the bus 660 route [33];
(e) at [40] he provides his description as follows:
"A female passenger pressed the stop button shortly after two metres from her bus stop between Benwerrin Avenue and ah, Glanmire Road on Merindah Road at approximately 7:21pm in Baulkham Hills. That action caused some confusion. Either she missed the ah, stop due to the darkness or she intend to get off at the next stop. The bus was only two metres away from the stop. When I looked in the ah, rearview mirror, I saw, I saw her walking toward the driver's cabin. I slowly pulled the bus over to the kerb and as I came to a stop the passenger leaned forward but managed to hold onto the handrail to prevent a fall. I apologised to her and reminded her not to leave her seat until the bus comes to a complete stop. I also asked are you okay madam? She replied that she was fine, thanked me and left the bus. I did not report this incident to the OCC because there was no accident or injury. According to company, company policy, accidents must be reported immediately to the OCC";
(f) he says at [46] she was holding onto the handrail and at [47] he says that the claimant leaned forward but she did not fall;
(g) he says most or all passengers stay seated until the bus stops and maybe the claimant was confused because it was nighttime with where the bus was [54]. He says she walked towards the front door [56];
(h) he confirms there was a slope and denies that he braked harshly [59], and
(i) he says he did not report the incident to the depot because there was no accident to report [64].
(a) the claimant had cause for concern over the way the bus was being driven after it left Norwest;
(b) the bus driver missed the claimant's bus stop;
(c) the claimant got up and started to walk down the aisle in order to get him to stop;
(d) as a result of her movements the driver took action and the bus stopped suddenly;
(e) the claimant was carrying bags which made it hard for her to maintain control and she moved quickly towards the front of the bus and lost her balance, and
(f) the claimant fell hitting the opal card reader, but she did not fall to the floor of the bus.
Did the claimant depart from her standard of care
(a) I have accepted that the claimant was concerned about the way the bus had been driven since it left Norwest. She has given particular evidence about the woman who got off at the stop before hers and thought she might have been remonstrating with the driver. In my view, a reasonable person who was already concerned about the driving of the bus would not have got up out of her seat and undertaken the dangerous manoeuvre of walking down the aisle of a moving bus, being driven in what she perceived to be an unsafe manner;
(b) I have found the claimant had her hands free but was carrying at least two bags, one of which was particularly heavy. A reasonable person carrying two heavy bags, would not in my view have got out of her seat and walked down the aisle;
(c) a reasonable person in the position of the claimant knowing it was 350m between bus stops, with concerns about the way the bus was being driven would have remained seated and got off at the next stop, and
(d) a reasonable person in the position of the claimant, with concerns about the driving of the vehicle and with two bags would possibly have stood up in her seat, holding onto the back of the seat in front of her but would not move into the aisle, and would have called out to the driver "stop" or similar.
What is the degree of the claimant's contributory negligence?
(a) professional costs $1,992 plus $199.20 in GST
(b) Dr Jay's records $65 no GST charged
(c) interpreter $123.64 plus $12.36 in GST
(d) interpreter $170 plus $17.00 in GST.
[1] Section 3.28(1)(a) adds the words "and the person is over 16 years of age at the time of the motor accident" to create an ongoing entitlement to statutory benefits for treatment and care expenses for children.
[4] Axiak v Ingram [2012] NSWCA 311 where contributory negligence for a reckless pedestrian was assessed at 50%. Davis v Swift [2014] NSWCA 458 where contributory negligence for a pedestrian who stepped backwards off a median strip was assessed at 80%.
[6] Page 7 of the claimant's initial bundle.
[7] Page 70 of the claimant's initial bundle.
[9] Page 31 of the claimant's additional bundle.
[10] Her records are at page 18 of the insurer's initial bundle.
[11] Page 77 of the claimant's initial bundle. Multiple other certificates have been provided but it is not necessary in these reasons to detail them all.
[13] Pages 4-7 of the claimant's additional bundle.
[14] Page 74 of the claimant's initial bundle.
[15] The report of Ms Lin is found at page 21 of the insurer's bundle and is dated 14 November 2024.
[17] Page 72 of the claimant's initial bundle.
[18] (1990) HCA 33 at [367].
[19] [2023] NSWSC 909 at [45].
Kwon
Allianz Australia Insurance Limited [2025] NSWPIC 248